Giriraj LLC
NPI #1497099055 in Lake Wales, Florida
Provider Information
- NPI Number
- 1497099055
- Entity Type
- Organization
- Organization Name
- Giriraj LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 20, 2012
- Last Updated
- Feb 21, 2017
Practice Location
- Address
- 1322 STATE ROAD 60 E
- City
- Lake Wales
- State
- Florida
- ZIP Code
- 33853-4322
- Phone
- (863) 676-0400
Authorized Official
- Name
- GOPIKA TRIVEDI
- Title
- OWNER
- Phone
- (863) 676-0400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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